Provider Demographics
NPI:1407033913
Name:KAYDEN, PAMELA BETH (MEDCC, LADC)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:BETH
Last Name:KAYDEN
Suffix:
Gender:F
Credentials:MEDCC, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 BALLARD ST
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03824-2308
Mailing Address - Country:US
Mailing Address - Phone:603-862-1530
Mailing Address - Fax:
Practice Address - Street 1:12 BALLARD ST
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NH
Practice Address - Zip Code:03824-2308
Practice Address - Country:US
Practice Address - Phone:603-862-1530
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-28
Last Update Date:2008-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0355101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)